Gwen Bloom, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC05137300 Issued in NJ

Practice address

3322 Rte 22 Ste 428
Branchburg, NJ 08876-3395

Phone

(732) 501-5917

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gwen S. Bloom LCSW LLC

  • Clinical Social Worker
  • Branchburg, NJ
  • NPI 1558895003
  Medicare reassignment Authorized official
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043415599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E JERSEY ST",
            "address_2": "DEPT. BEHAVIORAL HEALTH & PSYCHIATRY",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061259",
            "telephone_number": "908-994-5000",
            "fax_number": "908-994-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 RTE 22 STE 428",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763395",
            "telephone_number": "732-501-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 E Jersey St",
            "address_2": "Dept. Behavioral Health & Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072061259",
            "country_code": "US",
            "telephone_number": "908-994-5000",
            "fax_number": "908-994-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "GWEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05137300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44SC05137300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Behar
• Bergen Mind & Wellness
• Rose Bielat, MS, RDN
• Phillip Bisco, PSY.D.
• Blaire Melius Counseling LLC
• Christine Marie Boehler, LCSW
• Damilola Boladale
• Jacqueline Elizabeth Boran, DMD
• Keyana Boston, DC
• Bowicks Courier & Logistics LLC

• Social Worker in Branchburg, NJ
• Providers in Branchburg, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.